Please use this identifier to cite or link to this item:
https://doi.org/10.1080/14017431.2022.2074095
DC Field | Value | |
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dc.title | Hybrid type II and frozen elephant trunk in acute Stanford type A aortic dissections. | |
dc.contributor.author | Sule, Jai | |
dc.contributor.author | Chua, Cher Rui | |
dc.contributor.author | Teo, Caven | |
dc.contributor.author | Choong, Andrew | |
dc.contributor.author | Sazzad, Faizus | |
dc.contributor.author | Kofidis, Theo | |
dc.contributor.author | Sorokin, Vitaly | |
dc.date.accessioned | 2022-05-25T05:20:25Z | |
dc.date.available | 2022-05-25T05:20:25Z | |
dc.date.issued | 2022-12 | |
dc.identifier.citation | Sule, Jai, Chua, Cher Rui, Teo, Caven, Choong, Andrew, Sazzad, Faizus, Kofidis, Theo, Sorokin, Vitaly (2022-12). Hybrid type II and frozen elephant trunk in acute Stanford type A aortic dissections.. Scand Cardiovasc J 56 (1) : 91-99. ScholarBank@NUS Repository. https://doi.org/10.1080/14017431.2022.2074095 | |
dc.identifier.issn | 14017431 | |
dc.identifier.issn | 16512006 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/225977 | |
dc.description.abstract | Objectives. Composite frozen elephant trunk is an increasingly popular solution for complex aortic pathologies. This review aims to compare outcomes of zone 0 type II hybrid (hybrid II) with the composite frozen elephant trunk (FET) technique in managing acute Stanford type A aortic dissections. Methods. PubMed and Embase were systematically searched using PRISMA protocol. 11 relevant studies describing the outcomes of hybrid II arch repair and FET techniques in patients with type A aortic dissection were included in the meta-analysis. The study focused on early post-operative 30-day outcomes analysing mortality, stroke, spinal cord injury, renal impairment requiring dialysis, bleeding and lung infection. Results. 1305 patients were included in the analysis - 343 receiving hybrid II repair and 962 treated with the FET. Meta-analysis of proportions showed Hybrid II was associated with less early mortality [5.0 (CI 3.1-7.8) vs 8.1 (CI 6.5-10.0) %], stroke [2.3 (CI 1.1-4.6) vs 7.0 (CI 5.5-8.8) %], spinal cord injury [2.0 (CI 0.9-4.3) vs 3.8 (CI 2.8-5.3) %], renal impairment requiring dialysis [7.9 (CI 5.5-11.2) vs 11.8 (CI 9.8-14.0) %], reoperation for bleeding [3.9 (CI 1.8-8.4) vs 10.6 (CI 8.1-13.8) %] and lung infection [14.8 (CI 10.8-20.0) vs 20.7 (CI 16.9-25.1) %]. Conclusion. Hybrid II should be considered in favour of FET technique in acute Stanford type A dissection patients who are at higher risk due to age and comorbidities. | |
dc.publisher | Informa UK Limited | |
dc.source | Elements | |
dc.subject | Arch repair | |
dc.subject | acute type A dissection | |
dc.subject | frozen elephant trunk | |
dc.subject | hybrid repair | |
dc.subject | meta-analysis | |
dc.subject | systematic review | |
dc.type | Review | |
dc.date.updated | 2022-05-25T03:35:30Z | |
dc.contributor.department | SURGERY | |
dc.description.doi | 10.1080/14017431.2022.2074095 | |
dc.description.sourcetitle | Scand Cardiovasc J | |
dc.description.volume | 56 | |
dc.description.issue | 1 | |
dc.description.page | 91-99 | |
dc.published.state | Published | |
Appears in Collections: | Staff Publications Elements |
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File | Description | Size | Format | Access Settings | Version | |
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43. Hybrid aortic SRMA.pdf | Accepted version | 1.55 MB | Adobe PDF | OPEN | Published | View/Download |
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